Use of stainless steel crowns to restore primary molars in Germany: Questionnaire-based cross-sectional analysis

Int J Paediatr Dent. 2018 Nov;28(6):587-594. doi: 10.1111/ipd.12415. Epub 2018 Aug 1.

Abstract

Background: Stainless steel crowns (SSCs) have shown substantial clinical success and are the restoration of choice to treat multisurface carious primary molars.

Aim: To evaluate the use of and views on SSCs for treating primary molars in Germany.

Methods: This is a questionnaire-based cross-sectional study, which assessed the views of dentists and dental schools on the use of SSCs (conventional and the Hall Technique [HT]) in Germany. Dentists were randomly selected (n = 267) and contacted by telephone, and a self-administered questionnaire was sent to all German dental schools (n = 27).

Results: A total of 104 (39%) dentists agreed to participate. The majority of respondents (66%) do not use SSCs, being the main drawbacks: technique complexity (29%) and aesthetic concerns (23%). The majority of respondents (77%) were not familiar with the HT. The response rate from the universities was 85%. In 96% of the dental schools, the value of using SSCs is taught; however, in 27%, no practical training is provided. In addition, the dental schools' questionnaire revealed that the HT was known (91%), but neither taught to nor used for most of the dental students (76%).

Conclusion: Independent of the technique used, SSCs are considerably underutilized in the dental practice in Germany, although SSCs are well accepted by the universities, however, predominantly using the conventional approach.

Keywords: Hall Technique; deciduous teeth; dental caries; stainless steel crowns.

MeSH terms

  • Attitude of Health Personnel*
  • Cross-Sectional Studies
  • Crowns*
  • Dental Caries / therapy
  • Dental Restoration Failure
  • Dental Restoration, Permanent / methods*
  • Female
  • Germany
  • Humans
  • Male
  • Molar*
  • Pilot Projects
  • Schools, Dental
  • Stainless Steel*
  • Surveys and Questionnaires
  • Tooth, Deciduous*
  • Treatment Outcome

Substances

  • Stainless Steel